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PLEASE INCLUDE ALL OF THE FOLLOWING:
Today's Date __________________________________________________________
Date For Delivery _______________________________________________________
Sender's Name _________________________________________________________
Sender's Address with zip________________________________________________
(City, State, Zip)_______________________________________________________
Sender's Phone & FAX Numbers ___________________________________________
Sender's E-Mail Address__________________________________________________
Sender's Credit Card ##________________________________Expiration:_________
Recipient's Name
_______________________________________________________
Company Name (if applicable)_____________________________________________
Recipient's Address _____________________________________________________
Recipient's Phone Number ________________________________________________
Any Instructions?_______________________________________________________
What Do You Wish to Send?______________________________________________
Second Choice__________________________________________________________
Price level (delivery charges will be added, no sales tax in Oregon)______________
Message for the Card:
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
Thank you for you order. We will call or FAX, or email you back to confirm.
When finished CLICK HERE to return to the order page
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